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Madagascar Public Expenditure Review 2014 : Health Sector Background Paper

PHARMACY HEALTH INFORMATION SYSTEM CHILD HEALTH EMPLOYMENT PARASITIC DISEASES HEALTH PLANNING HEALTH SERVICE DELIVERY REPRODUCTIVE HEALTH VACCINATION FINANCING FINANCIAL MANAGEMENT ANTENATAL CARE DEATHS INCOME UNDER-FIVE MORTALITY PREVENTION HEALTH EXPENDITURES DOCTORS MORBIDITY INTERNATIONAL ORGANIZATIONS BASIC HEALTH SERVICES COMMUNITY HEALTH PRIMARY CARE HEALTH INSURANCE HEALTH CARE POPULATION POLICIES HEALTH CARE FACILITIES INCENTIVES HEALTH HUMAN RESOURCES DEVELOPMENT ENVIRONMENTAL HEALTH BASIC HEALTH CARE HEALTH FACILITIES PUBLIC HEALTH QUALITY OF HEALTH HEALTH SECTOR KNOWLEDGE FINANCE MANAGEMENT PHARMACIES CHOICE EXERCISES PUBLIC HEALTH ADMINISTRATION INCIDENCE ANALYSIS COSTS IMMUNIZATION PATIENTS PATIENT HEALTH INDICATORS PUBLIC HEALTH CARE HEALTH CENTERS EXTERNALITIES NURSES HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES USE OF HEALTH SERVICES ALLOCATIVE EFFICIENCY MEDICAL CARE HOSPITAL CARE HEALTH WORKFORCE HEALTH CARE PERSONNEL TUBERCULOSIS HOSPITAL SERVICES OUTPATIENT SERVICES HEALTH CARE COVERAGE MORTALITY HEALTH ADMINISTRATION HEALTH PROMOTION MEDICAL TREATMENT HEALTH INFORMATION EQUITY INFANT MORTALITY WORKERS SURGERY PUBLIC HEALTH EXPENDITURES SOCIAL SERVICES HEALTH CARE PROVISION HEALTH PLANS PUBLIC HEALTH PROGRAMS HEALTH DELIVERY MATERNAL & CHILD HEALTH CARE POPULATION GROWTH RATES HEALTH POLICY HEALTH CARE COSTS BUDGETS DEMAND HEALTH OUTCOMES FAMILY PLANNING MEDICAL SUPPLIES STRESS PREVENTIVE HEALTH SERVICES EXPENDITURES HOSPITAL UTILIZATION MEDICAL PERSONNEL HEALTH CLINICS NUTRITION HEALTH CARE EXPENDITURES ADOLESCENTS QUALITY CONTROL PRIMARY HEALTH CARE BURDEN OF DISEASE HEALTH CARE CENTERS HEALTH SYSTEM INSURANCE WEIGHT PHYSICIANS COMMUNICABLE DISEASES PREGNANT WOMEN ESSENTIAL DRUGS CHILDREN PUBLIC HEALTH SERVICES DISEASE CONTROL CLINICS EVALUATION INPATIENT CARE HUMAN RESOURCES HEALTH PROVIDERS POVERTY HEALTH EXPENDITURE ILLNESS PUBLIC ADMINISTRATION SURGICAL EQUIPMENT GENERAL PRACTITIONERS COOPERATION EVALUATION OF RESULTS INCIDENCE COUNSELING POPULATION POLIO STRATEGY CHILD HEALTH SERVICES MEDICINES HEALTH FINANCING HOSPITALS HEALTH INTERVENTIONS HEALTH SERVICE INFANT MORTALITY RATE HEALTH PROGRAMS HEALTH SERVICES IMPLEMENTATION INTERNATIONAL COMPARISONS HEALTH STRATEGY PATIENT CARE NURSING HUMAN DEVELOPMENT PRIMARY HEALTH CARE SERVICES MIDWIFES
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Washington, DC
Africa | Madagascar
2016-04-18T20:43:13Z | 2016-04-18T20:43:13Z | 2015-09-17

Since the crisis, the health sector has suffered from a lack of strategic leadership. From 2009 to 2014, there were four Ministers of Health appointed, The objectives of the National Health Strategy, which ended in 2011, was informally extended with no interim strategy put in place. This resulted in a general loss of direction in the sector and fragmentation of coordination and funding among partners. In the first year after the elections and the placement of the new Government, the Ministry of Health went through a period of transition. In March 2014, the Prime Minister was also appointed the Minister of Health. In that past year, some key developments have taken place including the launch of the development of the new health sector strategy and the revitalization of the International Health Partnership in Madagascar. As of March 2015, a new Minster of Health and Secretary General of the MOH have been appointed with the key objectives of re-instilling strategic direction in the sector. The new Health Sector Strategy (2015-2019) is awaiting final Government validation. There are six strategic axes and the estimated budget needed when prioritizing maternal and child health interventions is estimated to be US$1.4 billion over the next five years. The Ministry has also explicitly committed to a the development of a Universal Coverage Strategy by the end calendar year 2015 with the first mission already having taken place. There are important challenges in the overall budget envelope and the coordination of financing (much of it being external financing) which should be addressed as they are key drivers to the success of the implementation these strategies.

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